Healthcare Provider Details

I. General information

NPI: 1649259490
Provider Name (Legal Business Name): HEATHER RILEY RIVASPLATA MSN, CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2006
Last Update Date: 09/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 7TH ST NW
WASHINGTON DC
20001-3201
US

IV. Provider business mailing address

2101 N ST NW APT T3
WASHINGTON DC
20037
US

V. Phone/Fax

Practice location:
  • Phone: 202-265-2400
  • Fax: 202-745-1081
Mailing address:
  • Phone: 202-375-3157
  • Fax: 202-745-1081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN965326
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: